Program Support Supervisor

ConnectMed360 • Louisville, KY

3d • $65,000 • Remote

About The Position

ConnectMed360 is seeking a Program Support Supervisor to supervise the accuracy and timeliness of the program’s billing function, prescription fulfillment process, and pharmacy/medical benefits investigations. The role supports community, oncology, and hematology physicians, patients, payers, and manufacturers, and is fully remote. The stated schedule is Monday through Friday, 8:30 a.m. to 6:00 p.m. EST. Starting salary is $65,000 and up, depending on experience.

Requirements

• Associate’s degree or equivalent from a two-year college or technical school, or a certificate program in pharmacy and/or healthcare.
• Minimum of two years of pharmacy experience.
• Ability to organize and plan team activities and delegate appropriately.
• Ability to provide a superior level of customer service.
• Computer experience, including accounting and billing software.
• Must be a team player.
• Registration or certification with the Board of Pharmacy as required by law.

Nice To Haves

• One to three years of experience in healthcare management.
• Certified Pharmacy Technician (PTCB).

Responsibilities

• Manage verification of current coverage with third-party payers and obtain authorizations as needed.
• Help resolve billing issues, including claim resubmissions to all payers, coverage changes, and claim adjustments.
• Ensure prescriptions are billed in accordance with Medicare/DMEPOS regulations and that required information is documented on hardcopy prescriptions.
• Communicate with clients and patients about billing issues, financial hardship assistance application results, and other billing inquiries.
• Communicate with manufacturer sales representatives as required.
• Coordinate and participate in conference calls with manufacturer partners when requested.
• Oversee record keeping to ensure information is accurate and complete, and manage the flow of current information between the billing department and other company departments, including accounts receivable, accounts payable, and customer service.
• Generate and analyze reports.
• Assist with developing, reviewing, and recommending changes to prescription fulfillment department policies and procedures.
• Ensure ongoing compliance with laws and regulations, that the department meets or exceeds accreditation standards, and that best practices are implemented in departmental activities.
• Delegate authority as needed to ensure responsibilities are fulfilled accurately and on time.
• Help complete pharmacy and medical cases when needed.
• Assist with managing and training staff in benefits investigations.
• Monitor daily calls, cases, and chats.
• Perform other duties as assigned.
• Conduct job responsibilities in accordance with the Company’s Code of Business Conduct and Ethics, policies and procedures, Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.

Benefits

• Medical, dental, and vision benefits.
• 401(k) with a company match.
• Paid time off and paid holidays.
• Quarterly incentive bonuses.
• Tuition reimbursement.
• Company-paid life insurance and short- and long-term disability benefits.
• Growth opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Associate degree